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General NPI Number Information
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NPI Number | 1801945076
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Entity Type | Individual
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Provider Name | STEPHAN ROBERT SHER D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2527 E TEXAS BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-2834
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Country | US
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Telephone | 610-437-3594
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Fax | 973-663-0080
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Provider Business Mailing Address
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Address Line | 101 MCGREGOR AVE
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City | MT ARLINGTON
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State | NJ
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Zip | 07856-1032
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Country | US
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Telephone | 973-663-3170
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Fax | 973-663-0080
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS002615L
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License Number State | PA
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